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SPARTAN DENTAL COMPANY, LLC
NPI 1932910114
Clinic/Center - Dental in Mountain Home, ID

Active since January 16, 2025
925 W AIRBASE RD, MOUNTAIN HOME, ID 83647(208) 590-0966(208) 587-1906 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Spartan Dental Company, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPARTAN DENTAL COMPANY, LLC (NPI 1932910114) is a healthcare organization registered as a dental in Mountain Home, Idaho and active in the NPI registry since January 2025. The organization lists David Robert Borgholthaus, Manager, as its authorized official.

NPPES Registry Identity

NPI1932910114
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSPARTAN DENTAL COMPANY, LLC
Location Address925 W AIRBASE RDMountain Home, ID 83647-3319
Mailing Address925 W Airbase RdMountain Home, ID 83647-3319 · (208) 590-0966 · Fax (208) 587-1906
Phone(208) 590-0966
Fax(208) 587-1906
Organization SubpartNo
Authorized OfficialDavid Robert BorgholthausManager · (208) 590-0966
Enumeration DateJanuary 16, 2025
NPPES CertifiedJanuary 16, 2025
✔ NPI 1932910114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
925 W AIRBASE RD, Mountain Home, ID 83647
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALPINE SURGICAL ARTS MOUNTAIN HOME LLC
Clinic/Center (Oral and Maxillofacial Surgery)
925 W AIRBASE RD
MOUNTAIN HOME, ID 83647
Elmore County (208) 344-9115

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spartan Dental Company, LLC's NPI number?

The NPI number for Spartan Dental Company, LLC is 1932910114. It was assigned to this organization in the NPPES registry on January 16, 2025.

Where is Spartan Dental Company, LLC located?

Spartan Dental Company, LLC is located at 925 W Airbase Rd, Mountain Home, ID 83647. The listed phone number is (208) 590-0966.

What is Spartan Dental Company, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Spartan Dental Company, LLC was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.